Acta Scientific Orthopaedics (ISSN: 2581-8635)

Research Article Volume 4 Issue 8

Assessment of Structural Body Imbalances in Patients with Temporomandibular Joint Dysfunction

DA Rozhdestvensky, AA Stafeev, SI Soloviev, VS Mheyan and AS Rozhdestvensky*

Neurology DPO Department, Omsk State Medical University, Omsk, Russia

*Corresponding Author: AS Rozhdestvensky, Head of the Neurology DPO Department, Omsk State Medical University, Omsk, Russia.

Received: July 06, 2021; Published:

July 20, 2021

Abstract

Introduction: Temporomandibular joint dysfunction (TMJ) is the second most common disease of the musculoskeletal system, affecting up to 33% of people during their lifetime. Being the main cause of neodontogenic pain in the orofacial region, TMJ pathology requires the use of a preclinical examination. The multifactorial nature of the disease actualizes the study of the early symptoms of developing functional disorders. The TMJ algorithm should be applied already in the dentist's office, which will avoid unpredictable results of dental rehabilitation and attract other specialists to the complex therapy of the patient in time. There is a need for a more accurate understanding of the mutual influence of the structural imbalance of the body and the dental system, determining the primary disorder, which will help to develop a prevention system, as well as influence the sequence, volume and nature of the treatment.

Aim of the Study: The aim of the study is to identify the relationship between structural imbalances of the body and TMJ dysfunction.

Materials and Methods: A prospective study was conducted on 85 volunteers from University students at the Department of Orthopedic Dentistry of Omsk State Medical University from February to March 2020. During the processing of the clinical material, 7 people were eliminated in accordance with the exclusion criteria. All the subjects were assessed the state of the maxillary system, primarily the TMJ (using the short Hamburg test), and structural imbalances of the body (using the Notch Interfaces Inc. motion capture and reconstruction system). The presence and strength of the linear relationship of the phenomena was determined using the Pearson coefficient.

Results: According to the results of the Hamburg test, the functional norm was detected in only 12.5% of the surveyed, the majority of volunteers (85.9%) had TMJ dysfunction or a high risk of its development. Structural imbalances of the body were detected in 78.2% of cases. There is a highly significant positive relationship between functional TMJ disorders and pelvic hyperflexia (p = 0.70, p < 0.05). A positive weak association was observed between the risk of developing TMJ dysfunction (2 points according to the Hamburg test) with pelvic hyperflexia (p = 0.29, p < 0.05) and forward tilt of the head and neck (more than 5°) (p = 0.24, p < 0.05).

Conclusion: The study showed a strong positive relationship between pelvic hyperflexia and signs of TMJ dysfunction, a positive relationship between functional TMJ disorders and slopes of different parts of the spine. The potential reversibility of the detected disorders and the need for their timely detection and correction. This study is a pilot and will be continued in a broader format.

Keywords: Temporomandibular Joint Dysfunction; Interdisciplinary Approach; Motion Capture Technology

References

  1. Ahmad SA., et al. “Low-level laser therapy in temporomandibular joint disorders: a systematic review”. The Journal of Medicine and Life 2 (2021): 148-164.
  2. Schiffman E., et al. “Diagnostic criteria for temporomandibular disorders (DC/TMD) for clinical and research applications: recommendations of the International RDC/TMD Consortium Network and Orofacial Pain Special Interest Group”. Journal of Oral and Facial Pain and Headache 1 (2014): 6-27.
  3. National Institute of Dental and Craniofacial Research”. Facial Pain (2020).
  4. Ryalat S., et al. “Prevalence of Temporomandibular Joint Disorders Among Students of the University of Jordan”. Journal of Clinical Medicine Research 3 (2009): 158-164.
  5. McNeill C. “Management of temporomandibular disorders: Concepts and controversies”. Journal of Prosthetic Dentistry 5 (1997): 510-522.
  6. Khvatova VA and Sputnikov AA. “Temporomandibular joint diseases and treatment methods”. New in Dentistry 1 (1998): 33-42.
  7. Herpich CM., et al. “Immediate and short-term effects of phototherapy on pain, muscle activity, and joint mobility in women with temporomandibular disorder: a randomized, double-blind, placebo-controlled, clinical trial”. Disability and Rehabilitation 19 (2017): 2318-2324.
  8. Bachani L and Ashok L. “Conservative Management of Temporomandibular Disorders: A Review”. Acta Scientific Dental Sciences 4 (2019): 99-109.
  9. Balthazard P., et al. “Association of cervical spine signs and symptoms with temporomandibular disorders in adults. JBI Database System”. Rev. Implement. Rep (2020): 1.
  10. Xu GZ., et al. “Low-Level Laser Therapy for Temporomandibular Disorders: A Systematic Review with Meta-Analysis”. Pain Research and Management (2018): 4230583.
  11. Kobyakova G., et al. “Complex application of Vojta therapy and osteopathy in the treatment of children with consequences of perinatal lesions of the central nervous system”. Manual Therapy6 (2016): 21-29.
  12. Amig JP. “Dentitionsystem. Dental concept. Osteopathic concept”. St. Petersburg: Nevsky rakurs (2004): 240.
  13. Milutka YA., et al. “Possibilities of osteopathic correction in complex therapy of temporomandibular joint dysfunction”. Russian Osteopathic Journal244-45 (2019): 43-50.
  14. Klimko KA and Naumovich SA. “Gnatology in dentistry”. Modern Dentistry 2 (2016): 9-13.
  15. Gesslbauer C., et al. “Effectiveness of osteopathic manipulative treatment versus osteopathy in the cranial fi eld in temporomandibular disorders - a pilot study”. Disability and Rehabilitation 6 (2016): 631-636.
  16. Carlsson GE. “Dental occlusion: modern concepts and their application in implant prosthodontics”. Odontology1 (2009): 8-17.
  17. Landusi JM. “Temporomandibular joints. Definition, dental and osteopathic treatment”. SPb: Nevsky rakurs (2014): 276.
  18. Ponomarev AV., et al. “Evaluation of the effectiveness of orthopedic treatment of temporomandibular joint dysfunction according to mathematical modeling”. Dentist28 (2018): 96-102.
  19. Postnikov MA., et al. “Automated Analysis of X-Ray Images of the Temporomandibular Joint in Patients with Orthognathic Bite and Physiological Occlusion”. The Egyptian Journal of Radiology and Nuclear Medicine1 (2019): 6-14.
  20. Ahlers МО and Jakstat НА. “Klinische Funktions analyse: interdisziplinares Vorgehen mil optimierten Befundbogen”. Hamburg: Denta Concept (2000): 512.
  21. Vabischevich AN and Voskov LS. “A wireless motion capture system based on a wireless sensor network platform and inertial sensors”. Science Works92 (2013): 200-210.

Citation

Citation: AS Rozhdestvensky., et al. “Assessment of Structural Body Imbalances in Patients with Temporomandibular Joint Dysfunction".Acta Scientific Orthopaedics 4.8 (2021): 26-30.

Copyright

Copyright: © 2021 AS Rozhdestvensky., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate33%
Acceptance to publication20-30 days
Impact Factor0.614

Indexed In



News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is September 30, 2021.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of “Best Article of the Issue”.
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.
  • Contact US